Senior Injury Adjuster

Job Description As a Sr. Injury Adjuster, you will handle attorney-involved, moderately complex claims. Responsibilities include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims per state laws and regulations. You will provide best-in-class member service through setting expectations, proactive communication, advice, and empathy.

Key Responsibilities:

• Adjust attorney-involved soft tissue and moderately complex injury claims (e.g., torn meniscus, broken bones, disc herniations) and related auto physical damage.

• Identify and confirm coverage decisions on soft tissue and moderately complex bodily injury claims.

• Investigate loss details, determine liability, evaluate, negotiate, and adjudicate claims timely with clear documentation within authority guidelines.

• Manage claims workload, keep members and parties informed, provide timely updates.

• Collaborate with team members to resolve issues and escalate when appropriate.

• Coordinate with vendors and internal partners to facilitate claim resolution.

• Deliver excellent member service with appropriate expectations and communication.

• Support workload surges and catastrophe (CAT) response including on-call duties, possible evenings, weekends, holidays.

• May travel for CAT deployments with minimal notice.

• Handle claims of higher complexity and additional duties as needed.

• Ensure effective risk management per policies and procedures.

Must Have Qualifications:

• High School Diploma or GED.

• 2 years auto claims adjusting experience.

• 1 year injury adjusting experience with attorney-represented claims.

• Proficient knowledge of auto claims contract, investigation, evaluation, negotiation, adjudication, case law, and state regulations.

• Strong negotiation, investigation, communication, and conflict resolution skills.

• Time management and decision-making skills.

• Investigatory, prioritizing, multi-tasking, and problem-solving skills.

• Knowledge of human anatomy and medical terminology related to injury claims.

• Ability to exercise sound financial judgment.

• Proficient in coverage evaluation, loss assessment, and reserving.

• Obtain and maintain insurance adjuster license within 90 days and 3 attempts.

Nice to Have Qualifications:

• 4+ years auto liability/casualty adjusting experience.

• 1+ year claims experience.

• Ongoing professional development in insurance.

• Bachelor's degree or higher.

Compensation and Perks:

• Salary: $63,590 - $90,000

• Hybrid schedule: Mandatory 3 days in-office in Phoenix.

• Comprehensive benefits supporting physical, financial, and emotional wellness.

• Medical, dental, vision, 401(k), pension, life insurance.

• Parental benefits, adoption assistance, paid time off with holidays, 16 paid volunteer hours, wellness programs.

• Career path planning and continuing education support.

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